Jones, Andrew Thomas
Jones, Andrew Thomas is an individual health care provider with primary practice located at 5219 St John Drive , Nett Lake MN 55772-8232. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Jones, Andrew Thomas can be contacted via phone (218) 757-3295.Contact Information
Primary practice address
5219 St John Drive
Nett Lake MN 55772-8232
Phone: (218) 757-3295
Fax: (218) 757-0234
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D11679 | Minnesota |
Profile Details
| NPI number | 1487629002 |
|---|---|
| LBN Legal business name | Jones, Andrew Thomas |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2006 |
| Last updated | Apr 12th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487629002 | NPPES |
| Minnesota | MEDICAID | 769473300 | |
| Minnesota | Other | D11679 |
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